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嗜酸性食管炎。饮食如何?如何治疗?一位在过敏科工作的胃肠病学家的观点。

Eosinophilic esophagitis. What diet? How to treat it? The point of view of a gastroenterologist working in a department of allergology.

作者信息

Kuźmiński Andrzej, Przybyszewski Michał, Przybyszewska Justyna, Bartuzi Zbigniew

机构信息

Department of Allergology, Clinical Immunology and Internal Diseases, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, Poland.

Faculty of Health Sciences, Department of Nutrition and Dietetics, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, Poland.

出版信息

Prz Gastroenterol. 2021;16(4):318-323. doi: 10.5114/pg.2021.105163. Epub 2021 Apr 9.

Abstract

Eosinophilic esophagitis (EoE) belongs to a broad group of allergic gastrointestinal diseases. More narrowly, it is classified as an eosinophilic gastrointestinal disease and is its most common representative. Until recently, this disease was extremely rare, but the last 3 decades have seen a rapid increase in its prevalence to such an extent that in some recent studies it has been named the most common esophageal disease after reflux disease. EoE is an interdisciplinary disorder on the borderline between gastrointestinal and allergologic diseases, requiring cooperation of these two branches of medicine in diagnostics and treatment. Despite the development of medical science it remains a poorly known disease, difficult to diagnose and even more difficult to treat. Recent years have seen the emergence of new studies and guidelines, both American and European, that have radically changed our approach to the diagnosis and treatment of EoE.

摘要

嗜酸性粒细胞性食管炎(EoE)属于一大类过敏性胃肠疾病。更确切地说,它被归类为嗜酸性粒细胞性胃肠疾病,并且是其最常见的代表。直到最近,这种疾病还极为罕见,但在过去30年中其患病率迅速上升,以至于在一些近期研究中它已被列为继反流性疾病之后最常见的食管疾病。EoE是一种介于胃肠疾病和变态反应性疾病之间的跨学科病症,在诊断和治疗方面需要这两个医学分支的合作。尽管医学有所发展,但它仍然是一种鲜为人知的疾病,难以诊断,更难以治疗。近年来,美国和欧洲都出现了新的研究和指南,它们从根本上改变了我们对EoE的诊断和治疗方法。

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本文引用的文献

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Diagnosis and treatment of eosinophilic esophagitis.嗜酸粒细胞性食管炎的诊断与治疗。
J Allergy Clin Immunol. 2020 Jan;145(1):1-7. doi: 10.1016/j.jaci.2019.11.011.
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